Case 1: An 82-Year-Old-Woman with Crescendo Angina History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History An 82-year-old woman presents to the ED with crescendo angina. This ECG is acquired in the emergency room at a time when the patient is pain-free: Diagnosis Sinus rhythm Cannot rule out anterior infarction (poor …
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Case 3: A 51-Year-Old Man with Blunt Injury to the Anterior Chest History Diagnosis ECG 2 ECG 2 Diagnosis History A 51-year-old man was repairing a truck when he was hit in his anterior chest by a malfunctioning air bag. Shortly afterwards he developed very severe chest pain and an ambulance was called. He is brought …
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Case 8: A 66-Year-Old Man with Severe Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 66-year-old man was attending a play in a downtown theater when he developed severe anterior chest pain. His wife accompanied him to the emergency department of a nearby hospital, where this ECG …
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Case 13: A 72-Year-Old Man in the Cardiac Clinic History Diagnosis History A 72-year-old man in the cardiac clinic for reassessment for complaints of palpitation and fatigue: Diagnosis Atrial flutter with 3:1 AV conduction – Ventricular rate 90/min Incomplete right bundle branch block (iRBBB) (QRS duration = 110 msec) Septal infarction, age undetermined ECG ID: …
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Case 99: A 77-Year-Old Man in the Emergency with Dyspnea History Diagnosis History A 77-year-old man with a long history of coronary artery disease is in the Emergency Department complaining of dyspnea and oppressive anterior chest discomfort: Diagnosis Atrial flutter with 2:1 conduction Ventricular rate 120/min Left axis deviation Septal myocardial infarction, age undetermined ECG …
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Case 102: A 73-Year-Old Woman with Angina History Diagnosis History A 43-year-old diabetic woman is seen in the Emergency Department with a one-week history of recurrent chest pain: Diagnosis Sinus rhythm Right bundle branch block Septal myocardial infarction, age undetermined Possible inferior myocardial infarction, age undermined (the statement of “possible inferior myocardial infarction” is made …
Case 123: A 58-Year-Old Man in the Medical ward in Heart Failure History Diagnosis History A 56-year-old diabetic man with no history of chest pain is in the emergency department in congestive heart failure: Diagnosis Sinus tachycardia, 120/min Nonspecific intraventricular block Possible septal infarction, age undetermined Because of a QS pattern in V1 and V2 …
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Case 10: A 58-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History This 58-year-old man with a 10-year history of poorly treated hypertension is brought to the Emergency Department with severe lower retrosternal/epigastric pain for the past hour, as well as weakness and dyspnea: Diagnosis Sinus rhythm, 72/min …
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Case 14: A 67-Year-Old in the Cardiac Clinic History Diagnosis History A 67-year-old man presents to the cardiac clinic for a routine follow-up. He suffered from an acute myocardial infarction 3 months ago, but he reports a satisfactory recovery, free from chest pain or dyspnea during moderate exercise: Diagnosis Sinus rhythm with Mobitz I second degree …
Case 16: A 66-Year-Old Woman in the Cardiac Surgery Unit History Diagnosis ECG 2 ECG 2 Diagnosis History This 66-year-old woman is in the cardiac surgery unit, 2 hours after triple aorto-coronary bypass: Diagnosis Accelerated junctional rhythm – ventricular rate 71/min Septal infarction, age undetermined T wave abnormality, consider anterior ischemia ECG 2 The following …
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